NPI age
19 years
Enumerated 2007-02-27
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Reg 1 Ahm Psr Sandpoint
Idaho Dept Of Health & Welfare Reg 1 Ahm Psr Sandpoint is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bonwell
Program Manager
Last NPPES update
2016-08-25
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
207 Larkspur St
Ponderay, ID 838525011
Mailing address
207 Larkspur St
Ponderay, ID 838525011
Authorized official
Holly Bonwell
Program Manager
📞 2087691406
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Sadie Green Social Worker NPI 1114388105
- Susan Hansen, M.ED. Developmental Therapist NPI 1801256227
- Elizabeth Larsen, B.S. Developmental Therapist NPI 1265892210
- Anna Lawrence, LCSW Social Worker NPI 1003277039
- Joanna Richter Registered Nurse NPI 1215390158
- Carol Young, LMFT, LPC Marriage & Family Therapist NPI 1972084937
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8073518 | |
| 01 | HW256 | BLUE CROSS OF IDAHO |
| 01 | 000010018348 | BLUE SHIELD |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.